TY - GEN
T1 - Medication decision-making on hospital ward-rounds
AU - Baysari, Melissa
AU - Westbrook, Johanna
AU - Day, Richard
PY - 2011/8
Y1 - 2011/8
N2 - This research explored the decision-making process of selecting medicines for prescription on hospital ward-rounds. We aimed to determine when and with whom medications were discussed, and in particular, whether shared decision making (SDM) occurred on ward-rounds. As a low level of computerized decision support was in place in the hospital at the time, we also examined whether the decision support aided in any medication discussions. Fourteen specialty teams (46 doctors) were shadowed by the investigator while on ward-rounds and all verbal communication about medications was noted. Most medication discussions took place away from the patient bedside and the majority took place between two or more doctors. While a great deal of doctor-patient communication regarding medications took place on ward-rounds, very little of this comprised SDM. More frequently, doctors informed patients of the medications they would be or were currently taking. The computerized decision support had little impact on treatment decision-making. While the value of SDM is often acknowledged in the literature, it appears to be rarely practiced on hospital ward-rounds.
AB - This research explored the decision-making process of selecting medicines for prescription on hospital ward-rounds. We aimed to determine when and with whom medications were discussed, and in particular, whether shared decision making (SDM) occurred on ward-rounds. As a low level of computerized decision support was in place in the hospital at the time, we also examined whether the decision support aided in any medication discussions. Fourteen specialty teams (46 doctors) were shadowed by the investigator while on ward-rounds and all verbal communication about medications was noted. Most medication discussions took place away from the patient bedside and the majority took place between two or more doctors. While a great deal of doctor-patient communication regarding medications took place on ward-rounds, very little of this comprised SDM. More frequently, doctors informed patients of the medications they would be or were currently taking. The computerized decision support had little impact on treatment decision-making. While the value of SDM is often acknowledged in the literature, it appears to be rarely practiced on hospital ward-rounds.
UR - http://www.scopus.com/inward/record.url?scp=83055161682&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/nhmrc/568612
U2 - 10.3233/978-1-60750-806-9-935
DO - 10.3233/978-1-60750-806-9-935
M3 - Conference proceeding contribution
C2 - 21893883
AN - SCOPUS:83055161682
SN - 9781607508052
T3 - Studies in Health Technology and Informatics
SP - 935
EP - 939
BT - User Centred Networked Health Care - Proceedings of MIE 2011
A2 - Moen, Anne
A2 - Andersen, Stig Kjær
A2 - Aarts, Jos
A2 - Hurlen, Petter
PB - IOS Press
CY - Amsterdam
T2 - 23rd International Conference of the European Federation for Medical Informatics, MIE - 2011
Y2 - 28 August 2011 through 31 August 2011
ER -